Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $51.29	Professional		$12.02	$19.95	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $18.62 / $33.88	Professional	26	$8.32	$18.62	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $7.08 / $13.18	Professional	TC	$3.98	$7.08	$13.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $36.31	Professional		$9.12	$9.12	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $17.78 / $26.92	Professional	26	$5.50	$17.78	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $30.90	Professional		$20.89	$30.90	$30.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.20 / $18.20	Professional	26	$12.30	$18.20	$18.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.51 / $12.59 / $12.59	Professional	TC	$8.51	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $37.15 / $46.77	Professional		$13.49	$37.15	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $22.39 / $27.54	Professional	26	$10.00	$22.39	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $14.79 / $19.05	Professional	TC	$5.50	$14.79	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $33.88 / $45.71	Facility		$12.59	$33.88	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $131.83	Professional		$16.60	$21.88	$131.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $20.89 / $34.67	Professional	26	$11.75	$20.89	$34.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $4.79 / $7.94 / $95.50	Professional	TC	$4.79	$7.94	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $47.86	Professional		$34.67	$37.15	$47.86
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.91 / $28.18	Professional	26	$20.89	$22.91	$28.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $14.79 / $19.50	Professional	TC	$13.49	$14.79	$19.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Professional		$45.71	$45.71	$47.86
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $28.18	Professional	26	$27.54	$27.54	$28.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $18.20 / $19.50	Professional	TC	$18.20	$18.20	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $40.74	Professional		$16.60	$20.42	$40.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.30 / $24.55	Professional	26	$10.96	$12.30	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $7.94 / $15.85	Professional	TC	$5.25	$7.94	$15.85